Resumen

GODERICH LALAN, José Miguel; MOLINA FERNANDEZ, Eduardo; JAEN OROPESA, Adolfo  y  GODERICH LOPEZ, Danisela. Hernia incisional: puntos de vista para un consensus. Rev Cubana Cir [online]. 2003, vol.42, n.4. ISSN 0034-7493.

Although there is not a shared criterion in the treatment of this entity, the studies conducted in hospitals of Santiago de Cuba and La Habana during 15 years allowed to show the results of a retrospective, descriptive and longitudinal study carried out among 529 patients operated on by different techniques. The anatomical, physiological and histological aspects were well defined. The peritoneum-aponeurosis interphase as well as the alterations of miction, defecation and ventilation were determinant. Among the prognostic factors, the size of the ring and the muscular atrophy or distrophy were stressed. In the preoperative, the evaluation of the associated diseases, the serial pneumoperitoneum and the number of previous operations acquired determinating values. The special varieties (periostomal, lumbar and suprapubic) were considered. The psychical alterations and the disabilites were analyzed. In the case of the implants, the Rives' technique was the most used, in which meshes of polypropylene, polytetrafluoroethylene and mersilene were preferably used with epidural anesthesia and antibiotic prophylaxis. The transoperative injuries and their prophylaxis and the results obtained by using meshes were discussed, determining percentage differences of relapses from 11.3 to 1.4 %. The conclusions favored the systematic use of meshes and the respect for the topics approached for a consensus

Palabras clave : HERNIA [surgery]; SURGICAL MESH; RETROSPECTIVE STUDIES; PROSPECTIVE STUDIES; EPIDEMIOLOGY, DESCRIPTIVE; LONGITUDINAL STUDIES.